Excludes1 pair
P00.7 vs P03-
P00.7 and P03 are not coded together. ICD-10-CM declares them mutually exclusive with an Excludes1 note — the two conditions are not expected to occur together, so exactly one of them is normally correct for a given encounter. The Official Guidelines carve out one exception: if the two conditions are clearly unrelated to each other, both may be reported.
The official note, declared on P00.7
newborn affected by other complications of labor and delivery (P03.-)
P00.7
Newborn affected by other medical procedures on mother, not elsewhere classified
BillableUnspecified
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Use when the record says
- Newborn affected by radiation to mother
Indexed under
- Newborn › affected by › maternal › medical procedure
P03
Newborn affected by other complications of labor and delivery
Not billable
- Chapter 16
- Certain conditions originating in the perinatal period
- Section
- P00-P04
Excludes1 is not always absolute: where two conditions covered by the note are genuinely unrelated, CMS guidance permits reporting both. Document the reasoning rather than assuming it. More on Excludes1 vs Excludes2 · FY2027